OZAWADE 4.5 mg Film-coated tablets

2. What you need to know before you take Ozawade

Do not take Ozawade

• If you are allergic to pitolisant or any of the other ingredients of this medicine (listed in section 6).
• If you have severe liver problems, as pitolisant is usually broken down in the liver and it is possible that high levels of this substance may accumulate in patients with severely impaired liver function.
• If you are breast-feeding.

Warnings and precautions

Talk to your doctor before starting to take Ozawade if you are in any of these situations:

• If you have ever had anxiety or depression with suicidal thoughts.
• You have liver or kidney problems, as the dose may need to be adjusted.
• If you have a stomach ulcer or take any medicine that may irritate the stomach, such as anti-inflammatory medicines, as digestive reactions may occur with Ozawade.
• If you are significantly overweight or underweight, as your weight may increase or decrease while taking Ozawade.
• If you have heart problems. Your doctor should regularly check these aspects during treatment with Ozawade.
• If you have severe epilepsy.

If you are in any of these situations, talk to your doctor or pharmacist before taking Ozawade.

Ozawade does not replace the primary treatment of OSA, such as CPAP. You should continue to use this treatment, in addition to Ozawade.

Children and adolescents

Ozawade should not be given to children or adolescents.

Other medicines and Ozawade

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Ozawade may affect the way other medicines work and other medicines may affect the way Ozawade works. Your doctor may need to adjust the dose.

Tell your doctor or pharmacist if you are taking any of the following medicines:

• antidepressant medicines such as clomipramine, duloxetine, fluoxetine, imipramine, mirtazapine, paroxetine, and venlafaxine;
• bupropion, used as an antidepressant or to help stop smoking;
• allergy medicines, called antihistamines, such as pheniramine maleate, chlorpheniramine, diphenhydramine, promethazine, mepyramine, and doxylamine;
• rifampicin, an antibiotic used to treat tuberculosis and other infections;
• epilepsy medicines (to prevent seizures), such as carbamazepine, phenobarbital, and phenytoin;
• heart medicines, such as digoxin and quinidine;
• St. John's Wort (Hypericum perforatum), a herbal remedy for depression;
• cinacalcet, used to treat parathyroid gland disorders;
• terbinafine, used to treat fungal infections;
• diabetes medicines, such as metformin and repaglinide;
• cancer medicines, such as docetaxel and irinotecan;
• cisapride, used to treat gastroesophageal reflux;
• pimozide, used to treat certain mental disorders;
• halofantrine, used to treat malaria;
• efavirenz, an antiviral medicine used to treat HIV infection;
• morphine, used to treat acute pain;
• paracetamol, used to treat pain;
• blood-thinning medicines (medicines that prevent blood clots), such as dabigatran and warfarin;
• probenecid, used to treat gout;
• medicines for pain, inflammation, and fever, such as acetylsalicylic acid, diclofenac, ibuprofen, meloxicam, and naproxen;
• hormonal contraceptives (contraceptive medicines), see also the section "Pregnancy" below.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

Pregnancy

Do not take Ozawade during pregnancy unless you and your doctor decide that you need to take it. There is not enough information on the risk of taking Ozawade during pregnancy. If you are a woman, you should use a safe contraceptive method during treatment with Ozawade and for at least 21 days after stopping treatment. Since Ozawade may reduce the effectiveness of hormonal contraceptives (contraceptive medicines), you should use another safe contraceptive method.

Breast-feeding

You should stop breast-feeding when you start taking Ozawade. Ozawade passes into animal milk.

Driving and using machines

You may feel sleepy or your ability to concentrate may be affected. Be careful when performing activities that require attention, such as driving cars and using machines. Talk to your doctor or pharmacist if you are not sure how your disorder may affect your ability to drive.

3. How to take Ozawade

Take this medicine exactly as your doctor or pharmacist has told you. If you are not sure, ask your doctor or pharmacist again.

Treatment usually starts with a dose of 4.5 mg once a day and is gradually increased over three weeks to reach the most suitable dose. At any time, your doctor may increase or decrease the dose based on the patient's response and tolerance to the medicine. The maximum daily dose is 36 mg.

It may take several days before the effects of the medicine are noticed and the maximum benefit is usually seen after several weeks of treatment.

Do not change the dose of Ozawade on your own. Any change in dosage should be prescribed and supervised by your doctor.

For a dose of 4.5 mg, take one 4.5 mg tablet.

For a dose of 9 mg, take two 4.5 mg tablets.

For a dose of 18 mg, take one 18 mg tablet.

For a dose of 36 mg, take two 18 mg tablets.

Ozawade should be taken once a day by mouth, in the morning during breakfast.

Ozawade should not be taken in the afternoon, as the patient may have difficulty sleeping.

If you take more Ozawade than you should

If you have taken too many Ozawade tablets, contact the emergency department of your nearest hospital or see your doctor or pharmacist immediately. You may experience headache, stomach pain, nausea, or irritability. You may also have difficulty sleeping. Bring this leaflet and the remaining tablets with you.

If you forget to take Ozawade

If you forget to take the medicine, take the next dose at the usual time, do not take a double dose to make up for forgotten doses.

If you stop taking Ozawade

You should continue to take Ozawade for the time prescribed by your doctor. Do not stop taking Ozawade suddenly on your own.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Common side effects(may affect up to 1 in 10 people):

• Headache
• Difficulty sleeping, sleep problems, feeling anxious
• Feeling dizzy (vertigo)
• Nausea, abdominal discomfort (stomach)

Uncommon side effects(may affect up to 1 in 100 people):

• Upper respiratory tract viral infection (common cold), cold sores
• Changes in bleeding tests, abnormal blood values related to liver function, increased blood pressure, increased blood cholesterol levels
• Intolerance to alcohol, increased appetite, low blood sugar, change in body weight
• Irritability, confusion, fear, panic reaction, altered or increased sexual interest, depression, nervousness
• Loss of balance, sleep rhythm disorder, taste disturbance, sudden and unpredictable episodes of mobility and immobility, migraine, sleep paralysis, loss of ability to perform physical activities
• Swollen eyelid, dry eye, presence of flashes of light or floating spots in vision
• Ringing or buzzing in the ear
• Irregular heartbeat, palpitations, rapid heart rate, abnormal heart rate
• Flushing, high blood pressure, sudden increase in blood pressure
• Diarrhea, constipation, dry mouth, gastrointestinal disorders, inflammation of the gastrointestinal tract, change in stool color, bad breath, flatulence, rectal bleeding, increased saliva secretion
• Skin rash, itching on the face, redness of the skin, cold sweats, excessive sweating, night sweats, abnormal increased sensitivity of the skin to sunlight
• Discomfort in arms and legs, muscle spasms, muscle pain, joint pain, tendon pain
• Frequent urination
• Pain and discomfort, fatigue, feeling hot, thirst, swelling of legs or hands

Reporting of side effects

If you experience any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Ozawade

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiry date refers to the last day of the month shown.

This medicine does not require any special storage conditions.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Ozawade

The active substance is pitolisant.

Ozawade 4.5 mg tablets

Each tablet contains pitolisant hydrochloride equivalent to 4.45 mg of pitolisant.

Ozawade 18 mg tablets

Each tablet contains pitolisant hydrochloride equivalent to 17.8 mg of pitolisant.

The other ingredients are microcrystalline cellulose, crospovidone, talc, magnesium stearate, anhydrous colloidal silica, polyvinyl alcohol, titanium dioxide, and macrogol 3350.

Appearance of the product and pack contents

Ozawade 4.5 mg is presented in white, round, biconvex film-coated tablets, 3.7 mm in diameter, marked with "5" on one side.

Ozawade 18 mg is presented in white, round, biconvex film-coated tablets, 7.5 mm in diameter, marked with "20" on one side.

Ozawade is marketed in a bottle of 30 tablets or 90 tablets.

Ozawade 4.5 mg: Available in packs containing 1 bottle of 30 tablets or packs containing 1 bottle of 90 tablets.

Ozawade 18 mg: Available in packs containing 1 bottle of 30 tablets or packs containing 1 bottle of 90 tablets.

Not all pack sizes may be marketed.

Marketing authorisation holder

Bioprojet Pharma

9, rue Rameau

75002 Paris

France

Manufacturer

Ozawade 18 mg

Inpharmasci

ZI N°2 de Prouvy-Rouvignies

1 rue Nungesser

59121 Prouvy

France

Ozawade 4.5 mg

Patheon

40 Boulevard de Champaret

38300 Bourgoin-Jallieu

France

You can obtain more information on this medicine by contacting the local representative of the marketing authorisation holder:

Date of last revision of this leaflet:

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency web site: http://www.ema.europa.eu.

The leaflet of this medicine is available in all languages of the European Union / European Economic Area on the European Medicines Agency website.